Call Center Nurse: OptumInsight

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.  

The Health Services Nurse is a member of the Nurse Triage Services team.  This position is responsible for providing comprehensive clinical services to our customers located throughout the U.S. and may require multiple licenses to practice across various States.  Services provided to our customers include but are not limited to the following Telephonic services: Transitions of Care, Medication Adherence and Reconciliation, Management of Gaps in care, and other care extension services.  The Health Services Nurse assists and guides patients toward self-management and behavior modifications that result in improved patient outcomes.  

The Health Services Nurse is the primary point of contact, coordinating with schedulers, pharmacists, providers of medical and behavioral health care and social services.  Success is measured in terms of improved patient outcomes, prevention of patient adverse events and unnecessary inpatient readmissions, satisfied customers, meeting, or exceeding quality measures, producing consistent and high-quality work and collaboration with other care team members. The Health Services Nurse is an experienced nurse, able to perform tasks independently and once trained, without significant guidance.  This person can provide education to patients, deploying best practices and standard workflow in their daily activities with the ability to apply their expertise across  the various areas of responsibility, understanding how their interactions with patients affect customer satisfaction and can make recommendations to improve processes. 

HOURS: Monday- Friday 10:30am-7pm EST

If you are located in Chesapeake, VA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:  

• Works on assignments that are semi-complex in nature where ability to recognize deviation from accepted practice is required
• Normally receives general instructions on routine work, detailed instructions on new assignments.
• May provide guidance to less experienced colleagues
• Health Services position in a Managed Services organization (does not reside on Client/Practice site)
• Provides Nursing support for health service providers in areas including but not necessarily limited to: Authorization/Utilization Review; Case Mgt; Quality Improvement processes, nurse triage services.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications: 

• An associate nursing degree or equivalent clinical experience 
• Current, unrestricted license issued by a state or jurisdiction within the United States to practice nursing
• Must have an active Virginia RN License
• 3+ years’ experience in an Acute or Managed Care setting
• Experience with Electronic Medical Records system(s)
• Demonstrated ability to meet deadlines with little to no supervision
• Proven ability to work independently and meet productivity expectations daily
• Demonstrated solid analytical and interpersonal skills
• Demonstrated computer literacy
• Demonstrated knowledge of Chronic Illnesses and medications utilized to treat those diseases

Preferred Qualifications: 

• Proven solid clinical assessment skills and experience in telehealth
• Demonstrated competency in managing a caseload of diverse patients across the continuum of care
• Demonstrated understanding of health-service related processes relevant to assigned role and responsibilities
• Proven ability to train others and answering questions from co-workers when necessary
• Demonstrated solid analytical, interpersonal skills, and computer navigation and literacy
• Demonstrated knowledge of healthcare, government, and insurance industry trends

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.